VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pure at Heart Childcare Center, LLC Phase 3
918 Big Bethel Road
Hampton, VA 23666
(757) 755-3246

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 14, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 PHYSICAL PLANT. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES. 8VAC20-780 SPECIAL SERVICES. 8VAC20-770 BACKGROUND CHECKS 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program A monitoring inspection was initiated on November 14, 2022 and concluded on November 15, 2022. There were 8 children present, ranging in ages from 2 years to age 3 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director, confirmed there was not a policy available for review related to head trauma.
Plan of Correction:	Policy implemented.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff # 2 (hire date 8-29-2022) did not include information indicating orientation related abusive head trauma, including procedures to cope with distraught children was conducted.
Plan of Correction:	Abusive Head Trauma training completed.
Standard #:	8VAC20-780-240-E
Description:	Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 2 (date of hire 8-29-2022) did not have documentation of CPR / First Aid orientation.
Plan of Correction:	CPR training (group) schedule 11-29-2022
Standard #:	8VAC20-780-245-A
Description:	Based on a review of 3 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The record for Staff #1 only included 30 minutes of annual training.
Plan of Correction:	All trainings were achieved and placed in file.
Standard #:	8VAC20-780-245-L
Description:	Based on staff interviews and review of documentation, the licensee did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation (DHO) of children. Evidence: Center owner confirmed they did not have anyone at the center during the inspection that had obtained DHO training.
Plan of Correction:	Daily health course scheduled.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.. Evidence: On the playground there was a metal rocker that has a broken rail that measures approximately 1 inch and is sharp and rusty. There is also a black plastic drain tube that is protruding approximately 1 ? inches from the ground and is tripping hazard. The plastic tube is broken and has sharp edges.
Plan of Correction:	Metal rocker removed. Black plastic drain covered.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Hazardous chemicals were observed in the following places and stored in an unlocked manner; 1) In the two?s room there was 1 container of spray disinfectant on a wire shelf. 2) In the preschool room under the diaper changing table there was a container of disinfectant wipes. 3) In the preschool room there were 2 containers of hand sanitizer stored on a book shelf. These items are hazardous chemicals and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction:	Coached & developed with staff about the use of chemicals and proper placement chemicals removed from floor.
Standard #:	8VAC20-780-380-A
Description:	Based on staff interviews and observation, the licensee did not ensure there shall be a posted daily schedule for toddlers and preschoolers that allows for flexibility as children's needs require. Evidence: Center owner confirmed there was not a daily schedule for the preschoolers posted in the center.
Plan of Correction:	Daily schedule posted.
Standard #:	8VAC20-780-450-A
Description:	Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: There were 8 children ages 2 and 3 observed resting during nap time and 5 did not have a bottom cover and 3 did not have a top or bottom cover.
Plan of Correction:	Linen placed during inspection.
Standard #:	8VAC20-780-550-G
Description:	Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Center owner confirmed they did not have documentation of evacuation drills available for review for October 2022.
Plan of Correction:	Fire drill completed